| NPI | 1952642084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60836768) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004864) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2023-02-14 |